| NPI | 1770962615 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERONICA E MARTINEZ Clinical Therapist 504-321-3240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 4440) |
| Enumeration Date | 2015-05-26 |
| Last Update Date | 2015-05-26 |